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WV/RAF-1 Rev. 09/05 West Virginia State Tax Department Charitable Bingo/Raffle Unit PO Box 1143 Charleston WV 25324-1143 304-558-8510 APPLICATION FOR REGULAR ANNUAL LIMITED OR STATE FAIR RAFFLE LICENSE TAX IDENTIFICATION NUMBER TELEPHONE NAME ADDRESS R A F L E Apply for the license which best serves your needs. You may hold only one valid regular annual license. While it is valid you may apply and receive one limited license.

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